Back in 2002 as a doctor

"I'll give you an example." Zhou Congwen said, "My boss..."

While talking, Zhou Congwen suddenly smiled and said, "Director Han, what brought you here."

"Professor Zhou, let me take a look at the operation here." Director Han said with a smile, "You are busy, busy."

"Director Teng is worried." Zhou Congwen said with a smile, "The patient is indeed a bit tricky, and I hope to find out soon. This time, I just pushed in when I first fell ill. You should be able to see the convulsed and narrowed blood vessels."

"Should Shen Lang do it by himself?" Director Han asked.

"Well, one person is enough, just make a shadow." Zhou Congwen said.

Teng Fei walked into the operation room very confused, and she saw Zhou Congwen squinting at her.

He even smiled at himself, completely ignoring his hostility, and Teng Fei was speechless about it.

Don't Zhou Congwen know what he is doing?Doesn't he know that he is angry!

"Professor Zhou, according to your speculation, you can find out what's wrong a few times." Director Han asked directly in front of a well-known person without swearing.

"I don't know." Zhou Congwen shook his head, looked at Shen Lang's figure through the leaded glass and said, "My boss said that the most patient he met had 12 angiograms before he found a narrow blood vessel."

"12 times? Why is there any narrow problem in my impression? Just do it once." Director Han asked.

"This is a rare situation, and no one has studied the specific mechanism. The boss wants to, but he has too much work to do." Zhou Congwen said, and then glanced at Teng Fei, "Director Teng, are you interested? "

"..." Teng Fei didn't know how to vent his anger.

And following Zhou Congwen's shallow words, her heart was filled with the fog of war, and she suddenly lost her direction.

Teng Fei felt a little unbelievable that Zhou Congwen related the matter to scientific research instead of being used to Shen Lang's mad dog.

Maybe this is an excuse, but Zhou Congwen's ability to make excuses is quite strong, and Tengfei can't refute it.

"Director Teng, this is a relatively rare situation." Zhou Congwen explained, "This time the patient has a short-term ventricular tachycardia, coupled with ST-segment depression, I guess I can see the problem."

"But it's been done three times."

"Oh, didn't you just say that my boss met a patient who did it 12 times in a row." Zhou Congwen said calmly, "It's only 3 times, not many."

"..." After hearing a few words, Teng Fei really wanted to shove Zhou Congwen's head into the screen and let him take a good look at the patient's previous three angiography images.

But at this moment, the screen suddenly moved.

It was Shen Lang who had sent the catheter to the position and started to step on the line.

Teng Fei shut her mouth and watched Shen Lang's operation quietly.Is it meaningful to perform radiography again and again?

According to Teng Fei's own thinking, it is meaningless, but Zhou Congwen said it is meaningful.

And Zhou Congwen gave an appalling number - 12 times.

Let the facts speak for themselves, Teng Fei thought.

But judging by Zhou Congwen's appearance, he was sure that the patient must have a problem, and if it doesn't work this time, he will wait for the next time. Teng Fei is a little distressed.

Who can resist repeated exposure to X-rays?Although everyone has considered whether this amount is more important than myocardial infarction, the family members of the patient will definitely not say so when there is a medical dispute.

"Shen Lang, just give 1/3 of the contrast medium first, and adjust the high-pressure injector." Zhou Congwen pressed the intercom to communicate with Shen Lang inside.

Shen Lang turned sideways, made a gesture of victory, and then adjusted the high pressure injector.

Teng Fei looked at Shen Lang silently, she didn't understand why Shen Lang made that victory gesture.

What are they doing, doesn't Shen Lang have any doubts in his mind.

A stream of black contrast material rushes along the blood vessels, from the main trunk to the side branches.Every unobstructed or semi-unobstructed blood vessel symbolizes life.

This is the surge of vitality.

Teng Fei focused her attention, she was quite sure in her heart that this imaging should be the same as the last time, the last time, and the last time.

Zhou Congwen didn't know what went wrong, so...

Just thinking of this, an abnormal image appeared in Teng Fei's vision.

The angiography should have been smooth, but for some reason, the patient's anterior descending branch was always blank.

It wasn't until the end that a trace of black contrast agent appeared in the field of vision along the forward descent.

Oh shit!

Teng Fei cursed in his heart.

The anterior descending branch is blocked, 99%! ! !

No wonder the ST segment of the patient's electrocardiogram pulls a small flag, and it's no wonder the patient suffers from severe precordial pain.

99% of the front descending branch is blocked, this is life hanging by a thread!

Teng Fei subconsciously took half a step forward, but immediately heard Zhou Congwen's voice.

"Shen Lang, stop the line, I'll go in and lower the bracket."

After hearing this voice, Teng Fei somehow felt a sense of peace in his heart.

Although her cognition was wrong and Zhou Congwen was proved to be right, Teng Fei still felt at ease and at ease.

Stop stepping on the line, Zhou Congwen put on a lead coat and went to brush his hands.

The operating room was quiet, and everyone was looking at the situation inside through the leaded glass.

The airtight lead door was slowly closed, and a chunky figure sat on the chair of the console.

"Director Teng, I don't understand clinical practice, so I'll ask you for advice." Director Han showed a harmless smile on his chubby face.

Teng Fei's hands and feet were numb, and she finally realized what mistake she made today.

"Here." Director Han's finger landed on the front descending branch on the screen.

It's not that he doesn't understand, but he is very proficient.

The location of the order is also very precise, and where there is something wrong, Director Han is as clear as a mirror.

"It's very thin here, almost nothing, what does it mean?" Director Han asked.

A thunderbolt hit Teng Fei's head.

"It's different from other places, Director Teng explain to me."

"Why are other places so thick, but so thin?"

"I don't understand. I don't understand what Director Teng said just now. Please explain to me."

Director Han said as he tapped his knuckles on the screen, making a thumping sound.

His fingers seemed to be tapping on Teng Fei's heart.

Chapter 1402 I Don't Blame You For This Matter

Zhang You's face was quite ugly, and his big die could be vaguely seen through the mask.

He stared at the image on the screen, his mind was muddled.

There was nothing wrong with the three radiography, and according to Zhou Congwen, it is very likely that he will be fine this time.But Zhou Congwen insisted on insisting, and said that he would continue to do it even if he had to do 12 radiography.

There must be a demon in everything that is abnormal, this is Zhang You's perception.

He always believed that Zhou Congwen was testing Teng Fei's compliance, that Zhou Congwen was using a patient to slap Teng Fei in the face.It is thought that Zhou Congwen is declaring that in the chest pain center, he is the leader.

but!

The face was indeed slapped, whether Zhou Congwen intended it or not.

But the way of slapping the face was something that Zhang You didn't expect - the patient's anterior stroke really has something to do, not nothing!

99% of the anterior descending artery is blocked, and patients will die suddenly due to myocardial ischemia anytime and anywhere.

Even if you do a stent now, you have to face extremely high risks.

But Zhou Congwen just rushed in without hesitation.

Zhang You looked blankly at Zhou Congwen who was already standing on the operating table, and he acted as an assistant to assist Shen Lang in the operation.

After seeing this scene, Zhang You felt confused.

what is this?

"Director Teng, I want to ask you something." Director Han's tone was exceptionally gentle, even a little gentle, as if he was talking to a little lover, "Why did you call me from the office? Why didn't I do anything?" I understand what you mean."

"..."

Teng Fei's toes were digging on the ground, wishing she could dig out a three-bedroom and one-living room.

Embarrassing, so embarrassing.

Teng Fei couldn't figure out why the patient's angiography suddenly had something wrong.

"Director Teng." Director Han turned around, and the chair under his buttocks made a squeaking sound, "I'm asking you something, tell me."

"Director Han...that's where the coronary arteries are clogged." Teng Fei said shyly.

"Oh, so there is something wrong." Director Han smiled slightly, "Then explain why you came to me."

"..."

Not only Teng Fei, everyone in the operating room knew that Director Han was deliberately embarrassing Director Teng.

But it's easy to ask a god to send a god to a god, and if you can die, you can pull Director Han from the medical office, and put on a posture of dying, and you have to accept Director Han's reprimand at this time.

And all of this has just begun, and the uncomfortable things are behind.

Teng Fei shivered and looked down at the floor, not daring to look into Director Han's eyes.

"Hey Hey hey."

Zhou Congwen's voice came from the intercom.

"Professor Zhou, tell me." Director Han's tone changed, and the change was as fast as that of Sichuan Opera.

"Director Han, are you talking to Director Teng?" Zhou Congwen asked.

"Oh, let me ask Director Teng some technical questions." Director Han said with a smile.

But his smile now is real, not the superficial smile he had when facing Teng Fei before.

"Director Teng may not understand technically, let me do it." Zhou Congwen said, "Shen Lang, your back hand should be higher, and you should be a little slower when twisting the guide wire. Yes, that's it."

Director Han took a deep look at Teng Fei and stopped embarrassing her.

"That's right, Director Han, the patient's condition is a very rare coronary artery spasm." Zhou Congwen said after teaching Shen Lang, "There are several academic opinions, but there is no unified conclusion now."

"Wait until I finish the operation and go out, otherwise the patient will hear it and get excited at any time, coronary spasm, and the operation will be even more difficult."

"Give papaverine."

"Okay." Director Han finished briefly, leaned back on the chair, and watched Zhou Congwen and Shen Lang perform the operation in peace.

Although the patient was in the acute stage, although the coronary artery was 99% stenotic, and although the operation was very difficult, Zhou Congwen calmed the patient's emotions and explained to her while using papaverine to relieve the spasm.

After 42 minutes, the stent was put in, and the angiography showed that the anterior descending artery was unobstructed, and the operation was successfully completed.

Zhou Congwen took off his lead jacket and walked out with a relaxed expression.

"Director Han, don't make things difficult for Director Teng." Zhou Congwen said directly without hesitation, "This kind of situation is very rare, and it is considered unlucky to encounter it once."

Director Han said with a smile, "No way, I just ask if I don't understand."

While talking, he stood up, "Professor Zhou, please sit down."

Teng Fei's old face was flushed with embarrassment, even the mask couldn't stop it.Teng Fei did not expect Zhou Congwen to be so generous.

But the more Zhou Congwen was like this, the more embarrassed Teng Fei became.

Just now she was digging the ground with her toes, which was inexplicably awkward; now Teng Fei wished to bang her head against the wall, creating a crack and slipping in by herself.

But things have to have a beginning and an end, Teng Fei bit the bullet and said, "Professor Zhou, I'm sorry..."

"Hi." Zhou Congwen waved his hand and didn't sit down. Instead, he looked for the image just now, "This time there is ventricular tachycardia, and the ST segment pulls a small flag. Normally, this kind of ECG captures the possibility of coronary artery spasm." The sex is relatively high."

"It's also a coincidence. If it's unlucky, it's very likely that I won't catch it this time, so I can only wait for the next time."

"This kind of situation is actually more dangerous than the three-vessel disease, because it is too hidden and difficult to judge. Many patients... Director Teng, have encountered the kind that nothing happened after the examination, but they were sent again a few days later, and even the forefoot A patient who just walked out of the ward and immediately fell down and died of sudden death?"

Teng Fei had already thought of what Zhou Congwen said.

She has been practicing medicine for decades, and she has encountered at least ten similar patients, but Teng Fei has no idea why.